Individual
GRACE EIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 N MICHIGAN AVE STE 809, CHICAGO, IL 60602-3776
(312) 767-2057
Mailing address
28 E JACKSON BLVD UNIT 1302, CHICAGO, IL 60604-2218
(616) 799-5747
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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